One-on-One Mindfulness Training Registration Form:
Please complete the following registration form and return to Karen Sothers by clicking on the SEND button at the bottom of this form. Your information will be transmitted to Karen over an encrypted connection.
Note: If you navigate away from this page before you click send, your data will be erased and you will need to start over.
Please be assured that Karen will not share your information with anyone else. If there is information that you are not comfortable recording on this form, you can discuss that information with Karen during your first session.